18 COPD Anoro Ellipta Vilanterol/umeclidinium 25/62.5 DPI Yes No £32.50 1st Line €>18 COPD Spiolto Respimat Tiotropium/Olodaterol 2.5mcg/2.5mcg SMI Yes No £32.50 1st Line €>18 COPD Spiolto Respimat It is exactly the same except the Fostair NEXThaler does not contain a propellant gas and will not cost the NHS any more. When is a combination inhaler prescribed? When I got changed from separate Ventolin and Beclomatasone, I was given a seretide inhaler which in theory gave me the equivalent steroid dose, I found my asthma was not as well controlled and the doctor very quickly put up to the higher dose and I have been fine ever since. 1: Stand or sit upright when using your NEXThaler. Maximum cost per 24 hours £1.95 £1.87 - £2.80 £2.80 . I use it now for 2 single inhalations per day. : Fostair 200/6 V Seretide 250 Evo fostair nexthaler cost dose conversion asthma is a dry powder.... 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